Debridement (>20 cm) charge pt at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$285.01
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$605.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$102.42 with Passport by Molina vs $453.75 with United — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Passport by Molina | Medicaid|All Plans | $102.42 | ↓ -64% |
| Humana | Medicaid|All Plans | $115.37 | ↓ -60% |
| Aetna | Medicaid|Better Health | $117.72 | ↓ -59% |
| United | Medicaid|All Plans | $120.08 | ↓ -58% |
| Wellcare | Medicaid|All Plans | $121.26 | ↓ -57% |
| BCBS - Anthem | Medicaid|All Plans | $123.61 | ↓ -57% |
| Humana | Commercial|All Plans | $270.32 | ↓ -5% |
| United | Commercial|All Other Plans | $290.40 | ↑ +2% |
| United | Commercial|Non-Options | $318.28 | ↑ +12% |
| United | Commercial|Options | $318.28 | ↑ +12% |
| Cigna | Commercial|PPO | $335.72 | ↑ +18% |
| Cigna | Commercial|All Other Plans | $335.72 | ↑ +18% |
| Aetna | Commercial|All Other Plans | $344.44 | ↑ +21% |
| Aetna | Commercial|PPO | $344.44 | ↑ +21% |
| Aetna | Commercial|HMO | $344.44 | ↑ +21% |
| Multiplan | Commercial|All Plans | $396.76 | ↑ +39% |
| United | Commercial|PPO | $453.75 | ↑ +59% |
Visitor-reported prices
Comments
Debridement (>20 cm) charge pt at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $116.09 | $70.64 – $262.99 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $88.70 | $50.77 – $167.44 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $224.66 | $128.31 – $557.83 |
| CHI Saint Joseph Health - Saint Joseph London | London | $149.88 | $59.98 – $382.20 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $272.39 | $113.25 – $584.22 |
| Adventhealth Manchester | Manchester | $934.77 | not published |